Payroll Deduction Form (only for Parsons Employees)

Please click here to read our Electronic Services Disclosure and Agreement. Please retain a copy for your records.
Parsons Federal Credit Union would like members to send us your application, containing your confidential information and signature, by mail or fax. Using Internet Explorer (version 3.1 & above), please type in the information requested below, then print out and mail, or fax to (626) 440-9405. Make sure to sign where required.
Start Change Account Number:

Name: Social Security Number:

Home Phone: Work Phone: Employee No.

EMPLOYER: Location:

Pay Frequency (check one): Weekly Every Other Week Once a Month Twice a Month
Check one: Send my Net Paycheck each pay period to PFCU.
Send a total of each period to PFCU.

DISTRIBUTION FORM:

ACCOUNT TYPE
ACCOUNT NO.
$ AMOUNT
Savings
Checking
IRA
U.S. Savings Bonds*
Other
TOTAL PFCU
*Please complete the Authorization for Purchase of Series EE or Series I Savings Bonds

LOAN TYPE
LOAN NO.
$ AMOUNT
Signature
Auto
1st T.D.
VISA
LOC

 
By signing below, you acknowledge that you have received a copy of the Electronic Services Disclosure and Agreement and agree to the terms governing the services requested.
Signature

X_______________________________________________Date:_____________
 

 

 

This credit union is federally insured by the National Credit Union Administration

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